title: [Non-traditional procedure of revascularization of the lower extremities with bone transplants in unreconstructable arterial occlusions].
abstract: An unusual method for salvation of lower extremities with critical ischemia is described. A free bone fragment is formed by osteotomy and distracted by an osteotomy device during a period of 31 to 36 days with subsequent fixation (during a total of 45 to 60 days). This treatment is usually combined with lumbar sympathectomy. This procedure intends a stimulation of the peripheral circulation. It was used in 92 patients with non-reconstructable distal arterial occlusions in stage III and IV. In spite of some complications and failures the extremity could be saved in 77% of the cases. Controls over 2 to 36 months in 67 patients revealed a favourable result lasting over one year in 43 of the cases.
authors.affiliation: Aus der gefässchirurgischen Abteilung, Tscheljabinsk, UdSSR.
authors.forename: A A
authors.initials: AA
authors.lastname: Fokin
authors.forename: A A
authors.initials: AA
authors.lastname: Fokin
authors.forename: L P
authors.initials: LP
authors.lastname: Werbowetsky
mesh_terms: D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000295:instrumentation; D013562:Sympathectomy
vernacular_title: Nicht-traditionelles Verfahren der Revaskularisation der unteren Extremitäten mit Knochenspahn bei nicht-rekonstruierbaren Arterienverschlüssen.